An outcome study on average length of stay following total hip and knee replacement

O’Brien, Seamus

doi:10.1016/s1361-3111(02)00055-9

Cited by 10 publications

(14 citation statements)

References 20 publications

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“…Also, its incidence increases with age, and it affects more than 33% of people over 70 years in Spain [16]. The average age in our series at the time of operation is 77 years, and the age distribution shows a normal curve, in accordance with national studies which have shown average ages of 66.5±6.2 years [17,18] and 74±2.3 years [19][20][21], with a progressive ageing in the population. International studies have reported ages of 68 years [21] and 72 years [22].…”

Section: Discussionsupporting

confidence: 87%

Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Fernández-Cuadros¹

2017

MOJOR

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Background: Arthrosis has a huge impact due to its consequences on suffering and function loss and because it damages the well-being and the physical, emotional and social aspects of Health-Related Quality of Life. Our objective was to assess the influence of Age and Sex on Knee Osteoarthritis and Total Knee Arthroplasty on the perception of the patients with regard to their quality of life, before and after the intervention. Method:We carried out a quasi-experimental intervention study with a before and after design in a sample of 125 patients with knee osteoarthritis who were assessed before and after the operation. They all were operated by the same orthopedic surgeon and with the same type of total knee arthroplasty between the year 2008 and 2012. The Health-Related Quality of Life was assessed with the questionnaire SF-36. Results:We have observed that knee osteoarthritis significantly affects all the dimensions of Health-Related Quality of Life before the operation and that all the dimensions included in the SF-36 show a clinical improvement after the intervention with total knee arthroplasty. Female Sex has an influence diminishing Physical Function (p=0.044) in Knee Osteoarthritis (before the intervention), but it does not influence the outcome after Total Knee arthroplasty. Age has an influence on Bodily Pain (p=0.012) and Vitality (p=0.002) in knee Osteoarthritis (before the intervention), and on Physical (p=0.040) and Mental Health Components (p=0.002) after Total Knee arthroplasty. However, we can state that the operation of total knee arthroplasty significantly improves Health-Related Quality of Life in all its dimensions and components, except for Physical Functioning and Role-Physical, although they also improve over time after the operation. Conclusion: Total knee arthroplasty is justified according to the perception of clinical improvement and the improvement of Health-Related Quality of Life reported by the patients. Sex influences Knee Osteoarthritis and Age influences on Knee OA and Total Knee Arthroplasty outcomes. Citation: Fernández-Cuadros ME, Pérez-Moro OS, Alonso-Sardón M, Iglesias-de-Sena H, Mirón-Canelo JA (2017) Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement. MOJ Orthop Rheumatol 9(4): 00362.

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Section: Discussionsupporting

confidence: 87%

Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Fernández-Cuadros¹

2017

MOJOR

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“…Other national studies showed higher ratios (2.7:1 (11), 3:1 (12-14), 4:1 (15), 4.9:1 (16), and international studies presented similar ratios (1.5:1 (17), 1.6:1(18), 2.2:1 (19). All the studies, including the current one, showed a higher incidence in females.…”

Section: Discussionsupporting

confidence: 67%

“…The current study observed that comorbidity was associated after the intervention with an improvement in MH, since TKA improves pain, PF, MH and QOL, as most of authors already stated (19). Although Jones proved that patients > 80 presented 4 ± 2 comorbidities and patients < 80 presented 3.5 ± 2 comorbidities, comorbidity did not have a significant influence on the pain, PF and QOL after TKA and THA (20), as was the case in the current study.…”

Section: Discussionsupporting

confidence: 61%

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Age and Comorbidities Affect Quality of Life in Patients With Osteoarthrtitis and Knee Replacement

Fernández-Cuadros

Pérez-Moro

Mirón-Canelo

2016

Middle East J Rehabil Health

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“…Length of stay [4] is one of the commonly used measures for evaluating healthcare delivery [5]. Previous research [2,3,[6][7][8] identified factors affecting LOS following major elective surgeries especially total hip replacement (THR) and knee surgery (TKS) or knee replacement. THR is largely studied as it is one of the most common major elective operations for elders over 60 [9] with a total cost of about 140 million pound annually (UK National Audit Office Report).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic analysis of patient-centric networks: effects of patients and hospitals’ characteristics and network structure on hospitalization costs

2011

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Improving operations and delivery of cost-effective healthcare services is considered to be an important area of investigation due to the challenges in allocation of resources in meeting the increasing cost of health care for the twenty-first century. To date, appropriate mechanisms for systematic evaluation of hospital operations and its impact of the delivery of cost-effective healthcare services are lacking. This is, perhaps, the first study, which focuses on using large insurance claims data to develop a social network-based model for exploring the effect of patient-doctor tie strength and patient socio-demographic factors for exploring the social structure of operations and delivery of cost-effective healthcare services. We suggest that delivery of cost-effective healthcare services and operation is embedded within the social structure of hospitals. By exploring the mode of hospital operations in terms of their patient-centric care network, we are able to develop a better understanding of the operation and delivery of cost-effective healthcare services.

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An outcome study on average length of stay following total hip and knee replacement

Cited by 10 publications

References 20 publications

Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Age and Sex Affect Osteoarthritis and the Outcome on Knee Replacement

Age and Comorbidities Affect Quality of Life in Patients With Osteoarthrtitis and Knee Replacement

Socioeconomic analysis of patient-centric networks: effects of patients and hospitals’ characteristics and network structure on hospitalization costs

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